| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $2,089.30 | $8,317.64 | |
BCBS
| Facility | $6,760.83 | $16,982.44 | $26,302.68 | |
Providence
| Facility | $1,513.56 | $2,089.30 | $3,548.13 | |
United
| Facility | $1,023.29 | $15,135.61 | $46,773.51 |